No longer experimental: ASCs adopting peripheral nerve stimulation for chronic pain

When it comes to treating chronic pain—or pain associated with surgery—clinicians are always looking for alternatives to opioids. “There are zero advantages to chronic opioid use,” says Earl Kilbride, MD, MHA, an orthopedic surgeon at the Austin Orthopedic Institute. While the US makes up about 4.4% of the global population,…

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By Brita Belli

Survey: ASC leader satisfaction falls slightly amid compensation reductions

Data and surveys

Satisfaction of ambulatory surgery (ASC) leaders with their current jobs/positions has fallen in the past year, according to the 2025 OR Manager Career/Salary Survey. After reaching a 5-year high of 81% in 2024’s survey, the favorable satisfaction rating fell to 72%. However, that percentage aligns with surveys from several years…

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By Cynthia Saver

Welcome to the OR Manager Conference!

It is with great excitement that we welcome you to the 2025 OR Manager Conference, taking place October 28–30 at the Anaheim Convention Center in California. This year’s event is a celebration of leadership, innovation, and collaboration across perioperative leadership, and we are thrilled you are here to be part…

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By Tarsilla Moura

Integrating robotics for outpatient surgery: What ASC leaders need to know

Robotic surgery has moved from cutting-edge to commonplace. The question is no longer whether to use robotics but when to introduce it and how to ensure adoption is efficient, affordable, and seamless for surgical teams. Ambulatory surgery centers (ASCs) are increasingly adding robotics to their service lines, driven by the…

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By Julia Cameron

Office-based surgery offers new outpatient opportunities

Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…

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By Christine Kilgore

What periop nurses should preoperatively know about GLP-1, oral GLP-1 drugs

With the explosion of GLP-1–based therapies for type 2 diabetes and weight loss, perioperative nursing teams, especially in the preoperative and postanesthesia care areas, need to be fluent in recognizing these medications. Some patients may arrive on these agents—or even novel oral GLP-1s—and the physiologic effects, especially delayed gastric emptying,…

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By Tarsilla Moura

Optimizing vendor partnerships for cost containment, growth in ASCs: OR Manager Conference Session Preview

Growth is the goal in any ASC—growth in volume, growth in profits, and often growth to new locations. For DISC Surgery Centers, which just opened its sixth ambulatory surgery center (ASC) through parent company TriasMD, that growth has been the result of many factors. A key driver, according to Frank…

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By Carina Stanton

August poll results: Service line shifts push ASCs to expand capacity, redefine readiness

The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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By Tarsilla Moura

Survey: 2025 business manager profile

Data and surveys

Editor's Note: This page is a companion page to the main article, "Survey: Staffing problems increase as surgical volume continues to rise."   Most OR leaders (81%) report having a business manager. Historically, fewer than half had this position (42% in 2024, 37% in 2023, and 43% in 2022). The…

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By Cynthia Saver

Survey: Shifts in ASC staffing patterns, volume rises at slower rate

Data and surveys

About the survey Data for the Career/Salary Survey were collected from April 1 to June 27, 2025. The list comprised ASC administrators who were either OR Manager subscribers or part of an external list. The survey closed with 90 responses. The margin of error is ±5 percentage points at the…

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By Cynthia Saver
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